Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Thursday, August 22, 2019
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
Share:

ICL Home


For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 25366
  Title Systems change to improve tobacco use identification and referral in the chiropractic setting: A pilot study
URL https://chiromt.biomedcentral.com/articles/10.1186/s12998-018-0214-y
Journal Chiropr & Manual Ther. 2018 ;26(45):Online access only 11 p
Author(s)
Subject(s)
Peer Review Yes
Publication Type Article
Abstract/Notes

Background: Tobacco use remains a leading cause of death and disability in the United States. Health professionals need to address the use of tobacco products by their patients, but chiropractic clinical systems often remain unsupported and underappreciated in their role to facilitate tobacco use cessation.

Methods: This pilot study tested an intervention to assist a chiropractic community to implement sustainable health systems changes for tobacco use based on U.S. Public Health Service guidelines. Chiropractors were educated on the Ask, Advise, Refer (AAR) approach, provided with ongoing guidance, and followed for six months to assess systems change. The study was conducted from March 2016 to July 2017.

Results: Evidence of a systematic process in place to conduct AAR was present in all clinics by the end of the fourth month of the intervention period. Although no clinic had sustained health system change for full AAR, all six of the clinics made progress in the individual AAR components. Furthermore, five clinics achieved sustained system change for the Ask component, as after systems change was achieved, the rate of tobacco user identifications did not drop below 50%. For the Advise component, five clinics succeeded in having individual months of ≥50% of tobacco users being advised, and three clinics achieved the formal definition of systems change. For the Refer component, no clinic achieved system change, although four had individual months of ≥50% of tobacco users being referred. The patient quit rate was 13.3% (n = 15) for the 30-day follow-up and 16.7% (n = 6) for the three-month follow-up.

Conclusions: This study demonstrates the feasibility of implementing a health systems change in the chiropractic setting to identify tobacco users, to advise them to quit, and to refer users for cessation services.

Author keywords: Chiropractic — Systems change — Tobacco —  Tobacco use disorder — Smoking — Tobacco cessation — Smoking cessation — Public health

Author affiliations: KB-S: College of Health Professions, School of Nursing, North Dakota State University, Fargo, ND, USA; BM, DRM: College of Health Professions, School of Pharmacy, North Dakota State University, Fargo, ND; ML: College of Health Professions, Department of Public Health, North Dakota State University, Fargo, ND;. MO: Department of Statistics, North Dakota State University, Fargo, ND; KM: Roger Maris Cancer Center, Sanford Health, Fargo, ND

This abstract is reproduced with the permission of the publisher; click on the above link for free full text. PubMed Record


 

   Text (Citation) Tagged (Export) Excel
 
Email To
Subject
 Message
Format
HTML Text     Excel



To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an asterisk*, also called a wildcard or truncation.  Example: chiropract* retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips